NPI | 1568498418 |
---|---|
Former Name | KAREN MARION GUADAGNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5337) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 004886-1) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2024-11-15 |