| NPI | 1619607165 |
|---|---|
| Former Name | MAKAYLEA VICARI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008732) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2023-11-17 |