NPI | 1487295713 |
---|---|
Former Name | MARY PEEPLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2398) |
Enumeration Date | 2019-10-08 |
Last Update Date | 2021-04-07 |