NPI | 1124138664 |
---|---|
Former Name | MARGARET M NEAGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA057802) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2016-01-27 |