NPI | 1245452283 |
---|---|
Former Name | GINA ROSE VALONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00207000) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 008519) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2016-02-22 |