NPI | 1356419642 |
---|---|
Former Name | AMY LOUISE SNIATKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1075) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 009002) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2015-03-30 |