| 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 (Licence: NH 2939) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2025-01-28 |