NPI | 1841397767 |
---|---|
Former Name | VERONICA ANN MCKAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 3079) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-00633) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2015-04-29 |