| NPI | 1184745697 |
|---|---|
| Former Name | MAROLYN JEAN BOWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OK 1936) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: 1045922) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-02-01 |