| NPI | 1760572523 |
|---|---|
| Former Name | LIZANNE GALATIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5173) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA MA052738) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-10-09 |