NPI | 1851829808 |
---|---|
Former Name | HALLEY ANNE KREMINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 020860-01) |
Additional Taxonomies | 363A00000X Physician Assistant |
363AS0400X Physician Assistant, Surgical (Licence: NY 020860) | |
Enumeration Date | 2017-06-02 |
Last Update Date | 2025-02-05 |