| NPI | 1013000488 |
|---|---|
| Former Name | JACQUELINE MARSHIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107624) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL1873) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2015-06-24 |