| NPI | 1003184946 |
|---|---|
| Other Name | NONA FURCULITA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 60661489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 161410) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2021-03-01 |