| NPI | 1811388291 |
|---|---|
| Former Name | MACY ABIGAIL BATTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 018613) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-05560) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2019-11-12 |