NPI | 1477974384 |
---|---|
Former Name | JILLIAN SARNELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 017455) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25mp00318500) |
Enumeration Date | 2013-12-18 |
Last Update Date | 2020-03-06 |