NPI | 1649401985 |
---|---|
Former Name | ANN M CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.005166) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2009-08-04 |
Last Update Date | 2020-02-18 |