NPI | 1144786237 |
---|---|
Former Name | MARISSA WEICHING-GOOLSBY ACUFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11151) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-02-14 |
Last Update Date | 2024-09-11 |