NPI | 1699073916 |
---|---|
Former Name | ELLEN M MCGUIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52534) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004009) |
Enumeration Date | 2011-03-10 |
Last Update Date | 2016-06-03 |