| NPI | 1194823575 |
|---|---|
| Former Name | JOAN LIANE NOTGHI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 000552) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: MA 0606) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-01-19 |