| NPI | 1518022961 |
|---|---|
| Former Name | MARTHA ANNE MASELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AZ 3790) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 18506) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2022-04-30 |