| NPI | 1477141034 |
|---|---|
| Other Name | DEVORAH LEAH BORISUTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 5779) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 026105) |
| 363AS0400X Physician Assistant, Surgical (Licence: CT 5779) | |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2024-01-31 |