| NPI | 1851899322 |
|---|---|
| Former Name | TAYLOR ANNE COUNTISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AL 1150472) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AL 1150472) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2022-04-19 |