NPI | 1730734989 |
---|---|
Former Name | RACHEL CARNICELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA065195) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-09292) |
Enumeration Date | 2019-08-05 |
Last Update Date | 2024-06-10 |