NPI | 1780088724 |
---|---|
Former Name | ABBY ANNE MERENDINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA063852) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 01835) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2022-09-13 |