NPI | 1669169835 |
---|---|
Former Name | GABRIELLE FLIORENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 031131) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00826400) |
Enumeration Date | 2023-04-19 |
Last Update Date | 2024-11-08 |