NPI | 1447561816 |
---|---|
Former Name | CHRISTINA ELISE ZAIKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 015746) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 0800) |
Enumeration Date | 2010-06-30 |
Last Update Date | 2021-05-07 |