| NPI | 1932197811 |
|---|---|
| Former Name | MARYLOU JOYCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 3909) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI PA00235) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2022-07-21 |