| NPI | 1053500348 |
|---|---|
| Former Name | GEANNINE ELISA SUBBIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA051497) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA051497) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2013-08-23 |