NPI | 1467598318 |
---|---|
Former Name | DANA MARIE SPERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 54631) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052459) |
363A00000X Physician Assistant (Licence: PA OA000884) | |
363AM0700X Physician Assistant, Medical (Licence: PA OA000884) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2024-10-23 |