NPI | 1710462239 |
---|---|
Former Name | AMY PULCINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA060162) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060162) |
Enumeration Date | 2018-10-01 |
Last Update Date | 2022-07-01 |