| NPI | 1588068902 |
|---|---|
| Former Name | MAURA T MONAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008327) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 3456-23) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2024-02-06 |