NPI | 1780741215 |
---|---|
Former Name | DONNA AGRELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00166) |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00166) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2018-10-24 |