NPI | 1255717211 |
---|---|
Former Name | JASMINE PALMIANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 54230) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2015-07-31 |
Last Update Date | 2022-11-02 |