| NPI | 1023368552 |
|---|---|
| Former Name | ABBY JOANNE WOODWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055731) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA055731) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2018-05-02 |