| NPI | 1396062055 |
|---|---|
| Former Name | JOANNA MARIE WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 008004) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 001002292) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2018-09-05 |