NPI | 1497953053 |
---|---|
Former Name | JANETTE NICOLE CAIAZZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 20893) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 011873) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2024-04-02 |