| NPI | 1043652118 |
|---|---|
| Former Name | CHRISTINA DICARLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1969) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: SC TL1969) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2024-11-11 |