NPI | 1487945713 |
---|---|
Former Name | MARGARET ANN MCPEAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00714000) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA054755) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2024-04-08 |