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 |