NPI | 1417130535 |
---|---|
Former Name | AMY E CLOUTIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 012324-1) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 12324) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2023-03-21 |