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 |