| NPI | 1669630794 |
|---|---|
| Former Name | AMY CASTAGNOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: PA MA053399) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA TMA051898) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2015-08-11 |