| NPI | 1467514091 |
|---|---|
| Former Name | COURTNEY A MOYLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00172800) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052442) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-11-29 |