NPI | 1083982128 |
---|---|
Former Name | AMELIA TERESA SIANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 1005) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 002711) |
Enumeration Date | 2011-12-04 |
Last Update Date | 2014-04-15 |