| NPI | 1962799817 |
|---|---|
| Former Name | JAMIE SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021194) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4188) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2023-03-16 |