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 |