| NPI | 1841247137 |
|---|---|
| Former Name | JOAN MARIE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA54423) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 008359) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2018-05-24 |