| NPI | 1922272541 |
|---|---|
| Former Name | JOAN KILPRATRICK CARUSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 010713) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2024-12-03 |