| NPI | 1659873776 |
|---|---|
| Former Name | LIANNA MARIE FERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 022202) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2020-01-16 |