| NPI | 1386762953 |
|---|---|
| Former Name | ANN M COCILOVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 1049) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 0046) |
| 363A00000X Physician Assistant (Licence: AZ 1409) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2018-08-23 |