| NPI | 1538940341 |
|---|---|
| Former Name | KARYN CAITLIN FURCOLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA065106) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MA065106) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-08-05 |