| NPI | 1912387671 |
|---|---|
| Former Name | MARIN RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 018706) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2021-05-10 |