NPI | 1558323782 |
---|---|
Former Name | AMY TERMINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9102645) |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL PA9102645) |
Enumeration Date | 2006-04-04 |
Last Update Date | 2022-01-13 |