| NPI | 1578018214 |
|---|---|
| Former Name | MARA LOUISE WRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 2013) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WV 2772) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-09-29 |