| NPI | 1992176317 |
|---|---|
| Former Name | LORIANN GIOVANNIELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059784) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C50001215) |
| 363AM0700X Physician Assistant, Medical (Licence: VA 0110-005120) | |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2018-05-23 |