| NPI | 1295129377 |
|---|---|
| Former Name | CAITLIN ELIZABETH AZZARELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2025-00885) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363A00000X Physician Assistant (Licence: SC 2278) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2025-05-22 |