NPI | 1528366317 |
---|---|
Former Name | JENNIFER M PALERMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 002547) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 002547) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2016-04-12 |