| NPI | 1063821064 |
|---|---|
| Former Name | RACHELLE CARELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019159) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 79102) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2024-03-26 |