NPI | 1003004185 |
---|---|
Former Name | KATHLEEN ELIZABETH QUIGLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0940) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2007-10-14 |
Last Update Date | 2023-11-16 |