| NPI | 1700269628 |
|---|---|
| Former Name | ANNA SHERIDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE L1-0036940) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN575265) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2018-10-11 |