| NPI | 1205065547 |
|---|---|
| Former Name | MARY ANN ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 840748) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study (Licence: OK 840748) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |