NPI | 1679912554 |
---|---|
Former Name | CEARA M MURRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2015010953) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2013--0039) |
Enumeration Date | 2013-06-24 |
Last Update Date | 2024-06-14 |