NPI | 1073902052 |
---|---|
Former Name | ANNALISA PALAZZOLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008621) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2015-01-14 |
Last Update Date | 2019-08-29 |