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 |