| NPI | 1659326478 |
|---|---|
| Former Name | WESLEY F LISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA920) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN PA920) |
| 363AS0400X Physician Assistant, Surgical (Licence: AL 842) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-03-22 |