NPI | 1437469970 |
---|---|
Former Name | MARIKA GRAZIANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107219) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: VA 0110003428) |
Enumeration Date | 2010-10-18 |
Last Update Date | 2013-09-26 |