NPI | 1649347147 |
---|---|
Other Name | MARY ANN FRANCES BORO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9102357) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA 9102357) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2022-01-27 |