| NPI | 1396366035 |
|---|---|
| Former Name | ANNA K OMALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4277) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 4277) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2023-03-01 |