| NPI | 1669542395 |
|---|---|
| Former Name | TATSIANA CALOGERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006517) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-00353) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2019-10-08 |