NPI | 1821021932 |
---|---|
Former Name | MAUREEN A MORAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA ma052208) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2006-07-09 |
Last Update Date | 2008-06-16 |