| NPI | 1841506805 |
|---|---|
| Former Name | ANNA SHEALY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005487) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005487) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2024-02-29 |