| NPI | 1992058127 |
|---|---|
| Former Name | CATHLEEN RAIMONDI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 0001) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ Pending) |
| 363A00000X Physician Assistant (Licence: WI Pending) | |
| 363A00000X Physician Assistant (Licence: MI Pending) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2024-02-28 |