NPI | 1225056609 |
---|---|
Former Name | MAGGIE N PRIOLETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 010599) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 010599) |
363AS0400X Physician Assistant, Surgical (Licence: NY 010599) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2023-05-24 |