| NPI | 1912435629 |
|---|---|
| Former Name | MARIAH RAE ORR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.006146RX) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2022-12-27 |