| NPI | 1720717176 | 
|---|---|
| Former Name | MORGAN RODWAY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA2391) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA2391) | 
| Enumeration Date | 2022-06-09 | 
| Last Update Date | 2025-09-12 |