NPI | 1215445358 |
---|---|
Former Name | MEGHAN JEAN HOULIHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0005229) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005229) |
Enumeration Date | 2018-01-10 |
Last Update Date | 2020-01-22 |