| NPI | 1790076586 |
|---|---|
| Former Name | ABBIE M MANGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10001293A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001293A) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2025-02-16 |