| NPI | 1982900536 |
|---|---|
| Former Name | GAIL ELAINE HURLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MA PA4068) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NH 0887) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2014-01-17 |