| NPI | 1578218681 |
|---|---|
| Former Name | ELAINE ISABEL RAFFUCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA063898) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-10-19 |