| NPI | 1942493630 |
|---|---|
| Former Name | HADDEN FORRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WY 433) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WY WY433) |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2012-04-24 |