NPI | 1558796946 |
---|---|
Former Name | ALICIA M. MERCURI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 4436) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA00817) |
363A00000X Physician Assistant (Licence: PA TMA052803) | |
Enumeration Date | 2013-09-05 |
Last Update Date | 2022-06-29 |