| NPI | 1871600411 |
|---|---|
| Former Name | ANNA ELIZABETH TODD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 1102) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN PA1102) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2022-01-19 |