| NPI | 1437309085 |
|---|---|
| Former Name | KARLY ANN BENAMATI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 013515) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053516) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2022-01-12 |