| NPI | 1871688291 |
|---|---|
| Former Name | CAROLE MARIE MARQUIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1072) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NH 1072) |
| 363AS0400X Physician Assistant, Surgical (Licence: NH 1072) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-08-11 |