| NPI | 1427664192 |
|---|---|
| Former Name | KAROLYN S NOONAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8198) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2023-12-13 |