NPI | 1356712053 |
---|---|
Professional Name | MARIELLA KATHERINE CASTRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 019227) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA13204) |
363A00000X Physician Assistant (Licence: IL 085007456) | |
363A00000X Physician Assistant (Licence: CA PA58339) | |
Enumeration Date | 2015-10-07 |
Last Update Date | 2025-04-02 |