| NPI | 1659618791 |
|---|---|
| Former Name | STACI MARIE PESSETTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-03966) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 03966) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2025-11-24 |