NPI | 1417942202 |
---|---|
Former Name | HALE IMRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 12421) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 2797) |
Enumeration Date | 2005-09-16 |
Last Update Date | 2015-01-15 |