| NPI | 1578715819 |
|---|---|
| Former Name | MARIAH M HOWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003346) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 7202) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2023-08-14 |