NPI | 1558396127 |
---|---|
Former Name | JENNIFER ANN GIGANTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 010884) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA18210) |
363A00000X Physician Assistant (Licence: NY 010884) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2010-01-18 |