| NPI | 1730542424 |
|---|---|
| Former Name | CHANTEL ANELLA PRIOLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA063208) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DE C5-0001054) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2021-11-18 |