NPI | 1215071725 |
---|---|
Former Name | KATIE MARRIA SINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00279100) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00279100) | |
Enumeration Date | 2007-02-16 |
Last Update Date | 2020-12-16 |