| NPI | 1659708873 |
|---|---|
| Former Name | CARLI ANN BEACHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 016998) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY 16998) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2023-06-29 |