NPI | 1194176636 |
---|---|
Other Name | CAITLYN MOCCALDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0001072) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2018-11-09 |