NPI | 1104235274 |
---|---|
Former Name | LINDSEY ANN SAMPO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 017811) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 017811) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2021-11-10 |