| NPI | 1174956254 |
|---|---|
| Former Name | MAUREEN CATHERINE ELIZABETH O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17485) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601008485) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-02-21 |