NPI | 1447482823 |
---|---|
Former Name | MARLA ELLEN MCCONKEY (MAIDEN) |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-08-18 |
Last Update Date | 2021-01-28 |