NPI | 1356078802 |
---|---|
Former Name | MARY ELIZABETH PARMENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2393) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-08-04 |
Last Update Date | 2022-09-06 |