NPI | 1730732892 |
---|---|
Former Name | SAMANTHA GIGANTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1213069) |
Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: NY 0590262) |
Enumeration Date | 2019-07-18 |
Last Update Date | 2024-09-01 |