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 |