NPI | 1932228335 |
---|---|
Professional Name | AMY PERILLO SHOUMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS035574) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-03-28 |
Last Update Date | 2019-05-01 |