| NPI | 1043403868 |
|---|---|
| Former Name | GINA F MANGARI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 001942) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001942) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2012-01-21 |