| NPI | 1972722007 |
|---|---|
| Former Name | JACQUELINE MARIE CAPPIELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036127802) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101016781) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-06-30 |