| NPI | 1720361660 |
|---|---|
| Former Name | SHEILA RAE PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004443) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001002979) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2014-08-07 |