NPI | 1669448718 |
---|---|
Former Name | PATRICIA ANN MCCAULEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110840722) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 004408) |
Enumeration Date | 2006-02-28 |
Last Update Date | 2020-04-28 |