| NPI | 1962544452 |
|---|---|
| Former Name | JACQUELINE SIMONETTA-PAGLINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: FL PA9118285) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: NY 006372) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-07-03 |