NPI | 1073680146 |
---|---|
Former Name | MARIANNE A. HANNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA 60088178) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA AP 2250) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2024-11-19 |