| NPI | 1942478656 |
|---|---|
| Former Name | ROSE CALI ST. JACQUES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9102203) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102203) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2019-04-18 |