| NPI | 1780710889 |
|---|---|
| Former Name | DESIREE GALLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 006618) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant Medical (Licence: NY 006618) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-07-27 |