| NPI | 1699839670 |
|---|---|
| Former Name | AMELIA SARPONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00137300) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052151) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 008649) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-11-18 |