NPI | 1477821379 |
---|---|
Former Name | MARIEA REBECCA SINGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50-005162RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 015290) |
Enumeration Date | 2011-12-06 |
Last Update Date | 2021-01-14 |