Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist |
NPI | 1487202339 |
---|---|
Provider Name | Christine Anna Booker-Sommer |
First Address | Cheektowaga, NY 14227-1739 |
Second Address | Cheektowaga, NY 14227-1739 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2019 |
Last Update Date | 03/09/2019 |