NPI | 1497563498 |
---|---|
Former Name | ISABELLE PERRA KIESTER-FUSARO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119722) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2024-12-21 |
Last Update Date | 2025-04-01 |