| NPI | 1073505285 |
|---|---|
| Former Name | ANGELINA M CAMINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601007026) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 009607) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 009607) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2021-02-05 |