NPI | 1023381407 |
---|---|
Former Name | MARY BATTAGLIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9497621) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 784836) |
363LF0000X Nurse Practitioner, Family (Licence: CA 21591) | |
Enumeration Date | 2012-02-16 |
Last Update Date | 2020-10-27 |