| NPI | 1225409485 |
|---|---|
| Former Name | ANTONIA M GARLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3951) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085.005534) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2021-04-02 |