| NPI | 1033653142 |
|---|---|
| Former Name | LARISSA A QUADRACCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60715586) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA60715586) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2024-05-13 |