NPI | 1578713160 |
---|---|
Former Name | BETH ANN GUZZI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 797) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 01360) |
Enumeration Date | 2008-09-19 |
Last Update Date | 2021-12-17 |