| NPI | 1285993097 |
|---|---|
| Former Name | JAUNICE SCOPELLITI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-13355) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9106414) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9106414) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2023-09-18 |