| NPI | 1023444601 |
|---|---|
| Former Name | RACHELLE CARIELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7525) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107332) |
| 363AM0700X Physician Assistant, Medical (Licence: GA 7525) | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2024-10-01 |