NPI | 1700452224 |
---|---|
Former Name | ERIN ELIZABETH MAGEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA8237) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2021-06-03 |
Last Update Date | 2023-04-10 |