| NPI | 1326386228 |
|---|---|
| Former Name | JOANNA SEWALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA2388) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055963) |
| 363AS0400X Physician Assistant, Surgical (Licence: UT 6742502-1206) | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2023-09-08 |