| 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 |