| NPI | 1851631683 |
|---|---|
| Former Name | TIA JEAN FERRAROTTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 002877) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2018-08-29 |