NPI | 1902861370 |
---|---|
Former Name | THERESA M SATINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0688) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA003511L) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2008-08-27 |