| NPI | 1326654229 |
|---|---|
| Former Name | THERESA CURRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085011050) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9113602) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2025-05-12 |