NPI | 1578814752 |
---|---|
Former Name | SAMANTHA P VALVO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NY 016069) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 16069) |
Enumeration Date | 2012-09-27 |
Last Update Date | 2024-08-08 |