| NPI | 1457020067 |
|---|---|
| Former Name | LILY GRACE PRIOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008831) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA2233) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2022-11-11 |