NPI | 1649679234 |
---|---|
Professional Name | JEANNE SEVERE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 003776) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 003776) |
Enumeration Date | 2014-08-19 |
Last Update Date | 2014-08-19 |