NPI | 1932131240 |
---|---|
Former Name | JUDITH C SNAVELY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9101999) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA002507L) |
363AS0400X Physician Assistant, Surgical (Licence: PA MA002507L) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2022-11-14 |