| NPI | 1952950370 |
|---|---|
| Former Name | PENNY ANN ELDRED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2491) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61120377) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2024-10-29 |