| NPI | 1003515578 |
|---|---|
| Former Name | MICHAELA FONTANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 905842) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS 905842) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2024-07-17 |