NPI | 1417046319 |
---|---|
Former Name | GINA CALABRESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 3107) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-000988) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2024-11-06 |