| NPI | 1225686918 |
|---|---|
| Former Name | JULIANNE EPISCOPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA14632) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 024299) |
| 363A00000X Physician Assistant (Licence: VA 0110007316) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-05-06 |