| NPI | 1942471255 |
|---|---|
| Former Name | ANN-MARIE GADOMSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 011646) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 23011646) |
| 363AM0700X Physician Assistant, Medical (Licence: NC 0010-01804) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2013-03-06 |