NPI | 1568851699 |
---|---|
Former Name | SALLYANN MARCHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9109220) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003462) |
363A00000X Physician Assistant (Licence: PA MA057324) | |
363AM0700X Physician Assistant, Medical (Licence: FL PA9109220) | |
Enumeration Date | 2015-01-13 |
Last Update Date | 2021-04-13 |