| NPI | 1942481601 |
|---|---|
| Former Name | SELENA BOYD SCALZITTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1862) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: NC PA1862) | |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2024-03-11 |