| NPI | 1679881486 |
|---|---|
| Other Name | CARLYLE HOOFF CASELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110005347) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN PA0000002616) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2017-04-13 |