NPI | 1417652967 |
---|---|
Other Name | MADI ROSSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17217) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX 2023) |
Enumeration Date | 2023-04-04 |
Last Update Date | 2023-11-28 |