NPI | 1932491305 |
---|---|
Other Name | NICOLE E MANION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA52546) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001004045) |
363A00000X Physician Assistant (Licence: KY TC012) | |
Enumeration Date | 2011-05-04 |
Last Update Date | 2022-01-11 |