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 |