NPI | 1376859710 |
---|---|
Former Name | NATALIE VARLESI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005749) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601005749) |
Enumeration Date | 2010-08-24 |
Last Update Date | 2015-03-25 |