| 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 | 2025-07-10 |