NPI | 1902127491 |
---|---|
Former Name | MARILYN C COWLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3188) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC 3188) |
Enumeration Date | 2010-06-18 |
Last Update Date | 2025-04-25 |