| NPI | 1467861534 |
|---|---|
| Former Name | DIANA CONSIGLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 3163) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 3163) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2018-07-06 |