| NPI | 1134680564 |
|---|---|
| Former Name | VANESSA FELICANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA56927) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA 56927) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-05-15 |