| NPI | 1760519912 |
|---|---|
| Former Name | SAM GIROLAMO PUCCINELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111056) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085002542) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-08-06 |