NPI | 1659850725 |
---|---|
Former Name | SHIRLEY SARAH SHVARTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 022450) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 022450) |
Enumeration Date | 2018-08-09 |
Last Update Date | 2018-08-09 |