NPI | 1790036606 |
---|---|
Former Name | MAUREEN ANN BARLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 017494) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055775) |
Enumeration Date | 2012-10-02 |
Last Update Date | 2022-06-07 |