NPI | 1386089332 |
---|---|
Former Name | MARNIE ELIZABETH JEAN THRASHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NE 1728) |
Enumeration Date | 2013-05-03 |
Last Update Date | 2020-01-15 |