| NPI | 1699073916 |
|---|---|
| Former Name | ELLEN M MCGUIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004009) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 52534) |
| 363A00000X Physician Assistant (Licence: MO 20240478142) | |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2025-03-11 |