| NPI | 1841265840 |
|---|---|
| Former Name | MARYANN TERESA FERRARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CT 002120) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-10-01 |