| NPI | 1912359647 |
|---|---|
| Former Name | DEIRDRE RHOADS ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4169) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 008012) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2022-07-21 |