| NPI | 1699498469 |
|---|---|
| Former Name | ABBIGALE ROSE NEWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MT MED-PAC-LIC-116296) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2026-07-07 |