NPI | 1770985442 |
---|---|
Former Name | CHRISTY E ANSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7947) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2014-09-24 |
Last Update Date | 2016-11-01 |