NPI | 1518290337 |
---|---|
Former Name | ELENA AMATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005627) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601005627) |
Enumeration Date | 2009-09-11 |
Last Update Date | 2021-12-22 |