NPI | 1063433498 |
---|---|
Former Name | DENIELLE SARACINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 016404) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 001645) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2024-05-08 |