NPI | 1205445384 |
---|---|
Former Name | JILLIAN SANDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 025456) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-07-24 |
Last Update Date | 2025-01-24 |