NPI | 1609396274 |
---|---|
Former Name | ANDREA ACKROYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA1717) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant | |
Enumeration Date | 2017-06-23 |
Last Update Date | 2024-12-13 |