| NPI | 1356700967 |
|---|---|
| Former Name | MICHELE ASHLEY CHRISOSTOMOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NJ 25MP00389900) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2024-03-29 |