| NPI | 1154618403 |
|---|---|
| Former Name | DANIELLE JOY CASELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 014977-1) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 014977) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2014-02-05 |