NPI | 1457397622 |
---|---|
Former Name | MAUREEN ELIZABETH SPEDDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601004683) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MI 896415) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2022-04-01 |