| NPI | 1104889062 |
|---|---|
| Former Name | EILEEN M OMALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50-000660) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50000660) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2019-06-14 |