| NPI | 1740565829 |
|---|---|
| Former Name | CHRISTY WEEMS ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 2012) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN PA0000002012) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2023-12-08 |