| NPI | 1144646449 |
|---|---|
| Former Name | JOANNA MCCANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001646A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 99061029A) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2024-02-01 |