NPI | 1871164988 |
---|---|
Former Name | ANGELA MARIA FERRENTINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 6727) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA8225) |
Enumeration Date | 2021-07-09 |
Last Update Date | 2024-10-18 |