| NPI | 1558881110 |
|---|---|
| Former Name | PAULA P CONNOLLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9115569) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-06-10 |