NPI | 1972567329 |
---|---|
Former Name | JUDITH ANN BERLINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: PA MA000708L) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: FL PA9102477) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2018-08-30 |