| NPI | 1174755524 |
|---|---|
| Former Name | JULIE CROTTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA1853) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA3815) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2018-12-19 |