| NPI | 1124363650 |
|---|---|
| Former Name | KATHERINE TRUSCELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9109684) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-03835) |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9109684) | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2020-11-24 |