| NPI | 1851927792 |
|---|---|
| Former Name | COURTNEY MARIE FINNEARTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: MI 5601010570) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601010570) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2023-05-31 |