NPI | 1609246032 |
---|---|
Former Name | ABIGAIL AIROLDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 4685) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC MPA.2427 TL) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2020-01-16 |