NPI | 1215150636 |
---|---|
Former Name | TONI PATRICIA FREIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 006614) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00053700) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2011-01-26 |