NPI | 1003163965 |
---|---|
Former Name | CARA LOUISE O'NEILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA5828) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-08-10 |
Last Update Date | 2023-10-10 |