| NPI | 1356478135 |
|---|---|
| Former Name | NICOLE M CAVALIERE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00152400) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00152400) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 010810-1) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-06-30 |