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 |