| NPI | 1518072891 |
|---|---|
| Former Name | ELISE JANINE MACCHIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002324) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030434) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-02-24 |