| NPI | 1780217638 |
|---|---|
| Former Name | ANN SISSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1587) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL 1893) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2023-02-22 |