NPI | 1063879393 |
---|---|
Former Name | MARYRUTH LOPRESTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000912) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0033156) |
Enumeration Date | 2016-01-18 |
Last Update Date | 2016-11-08 |