NPI | 1770205650 |
---|---|
Former Name | SHERIDAN PALUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.008725RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601011400) |
Enumeration Date | 2022-09-16 |
Last Update Date | 2024-07-02 |