NPI | 1508318155 |
---|---|
Former Name | MIRELA BUDIMIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 020220-1) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 20220) |
Enumeration Date | 2016-10-31 |
Last Update Date | 2023-06-29 |