NPI | 1295939171 |
---|---|
Former Name | SONYA F CONLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 010596) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 010596) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2021-05-21 |