NPI | 1306179494 |
---|---|
Former Name | MAUREEN THERESE FRANKOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005605) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601005605) |
Enumeration Date | 2009-09-08 |
Last Update Date | 2020-04-02 |