| NPI | 1942621628 |
|---|---|
| Former Name | SHEILA ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-08971) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0003845) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2019-09-25 |