| NPI | 1104169549 |
|---|---|
| Former Name | MARY ELIZABETH GRIFFITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007139) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C05036) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2024-06-17 |