NPI | 1235283219 |
---|---|
Former Name | PATRICIA ANNE MCCARTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 5936) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA 9100967) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2010-09-26 |