| NPI | 1124494661 |
|---|---|
| Former Name | NICHOLE M ROSATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA120411) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA5551) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2025-10-27 |