NPI | 1679046700 |
---|---|
Former Name | ANNA LEE ROSSWOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08752) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-08752) |
Enumeration Date | 2019-01-11 |
Last Update Date | 2024-04-03 |