| NPI | 1811403033 |
|---|---|
| Former Name | ANTONIETTA E IOSUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C06707) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: HI AMD-789) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2024-02-20 |