NPI | 1962954636 |
---|---|
Other Name | AMANDA MARIA GUERRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 020323) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 020323-1) |
Enumeration Date | 2016-10-28 |
Last Update Date | 2018-06-15 |