| NPI | 1861253791 |
|---|---|
| Former Name | ANNA BATES SHINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110010267) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-09-19 |