| NPI | 1699284075 |
|---|---|
| Former Name | NICOLA SIOBHAN LOONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11530) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX TEMP) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2023-07-26 |