NPI | 1346318862 |
---|---|
Former Name | SUSAN R DELIMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00174000) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: PA MA052827) |
363A00000X Physician Assistant (Licence: PA MA052828) | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2020-03-11 |