NPI | 1992003057 |
---|---|
Former Name | LINA A. SIVIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 014633) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 014633) |
363AS0400X Physician Assistant, Surgical (Licence: NY 014633) | |
Enumeration Date | 2011-03-14 |
Last Update Date | 2016-11-09 |