NPI | 1497002240 |
---|---|
Former Name | TANIA I. JOSEPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 016044) |
Additional Taxonomies | 286500000X Military Hospital (Licence: NY 016044) |
363A00000X Physician Assistant | |
Enumeration Date | 2012-08-11 |
Last Update Date | 2023-12-06 |