NPI | 1831428663 |
---|---|
Former Name | SUSAN BETH MCGEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 018511) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 20651) |
363A00000X Physician Assistant (Licence: CA PA20651) | |
Enumeration Date | 2009-12-07 |
Last Update Date | 2015-06-09 |