NPI | 1356743140 |
---|---|
Former Name | AMY PATRICIA ROMITO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0008477) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PAT 9108152) |
363A00000X Physician Assistant (Licence: NC 001009954) | |
Enumeration Date | 2014-09-23 |
Last Update Date | 2023-04-24 |