NPI | 1093938128 |
---|---|
Former Name | JANET MARIE IOGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 3604) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 3604) |
363AM0700X Physician Assistant, Medical (Licence: AZ 3604) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2023-05-04 |