| 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 |