| NPI | 1831391655 |
|---|---|
| Former Name | MANDY SUZANNE SELVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AR PA-329) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MO 2007002747) |
| 363AS0400X Physician Assistant, Surgical (Licence: AR P-T0716) | |
| 363AS0400X Physician Assistant, Surgical (Licence: OK 2266) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2013-11-22 |