NPI | 1649729070 |
---|---|
Former Name | SARAH GIAMMARESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA003906) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA058525) |
Enumeration Date | 2016-09-27 |
Last Update Date | 2025-05-19 |