NPI | 1316325632 |
---|---|
Former Name | CADY CIUBA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7595) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT002049) |
Enumeration Date | 2015-05-07 |
Last Update Date | 2019-08-27 |