NPI | 1336658186 |
---|---|
Former Name | AMY FRASSETTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 4787) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 021363) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2025-06-13 |