NPI | 1972029114 |
---|---|
Former Name | WHITNEY F MACKAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00456800) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-08-18 |
Last Update Date | 2022-11-08 |