| NPI | 1962931113 |
|---|---|
| Former Name | CASSIDY RUOCCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 2880) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA7453) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2024-10-02 |