NPI | 1891190385 |
---|---|
Other Name | MARNIE HYZY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA59078) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601007172) |
Enumeration Date | 2014-10-27 |
Last Update Date | 2022-02-08 |