NPI | 1669584736 |
---|---|
Former Name | MIRAMANNEE M. LENZINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 17368) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA17368) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2021-12-10 |