NPI | 1295767143 |
---|---|
Former Name | ANDREA SENSECQUA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9103589) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2006-07-07 |
Last Update Date | 2021-03-29 |