| NPI | 1699222703 |
|---|---|
| Former Name | MICAELA LAROSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6522) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 6522) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2022-07-29 |