NPI | 1487323036 |
---|---|
Former Name | MARY KAY MURRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OK 4776) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OK 4776) |
Enumeration Date | 2021-09-08 |
Last Update Date | 2024-06-24 |