NPI | 1871746172 |
---|---|
Former Name | DOREEN GUAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MT MED-PAC-LIC-552) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT 552) |
Enumeration Date | 2008-10-30 |
Last Update Date | 2021-12-14 |