NPI | 1962826271 |
---|---|
Former Name | KARA MUFFOLETTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52789) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107645) |
Enumeration Date | 2014-02-06 |
Last Update Date | 2022-10-05 |