NPI | 1396991436 |
---|---|
Former Name | MAGHAN E DOERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MO 2010029585) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2008-08-08 |
Last Update Date | 2021-03-16 |