NPI | 1245539733 |
---|---|
Former Name | ANNE MARIE NASSIFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 002151) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 002151) |
Enumeration Date | 2011-03-23 |
Last Update Date | 2015-08-10 |