NPI | 1780913749 |
---|---|
Former Name | JUSTINE MARIE CANIGLIA-MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2009-12-21 |
Last Update Date | 2016-04-24 |