NPI | 1396117818 |
---|---|
Former Name | ELEANOR A CATALINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61501376) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057879) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2024-05-08 |