NPI | 1073740684 |
---|---|
Former Name | SARAH M TANZILLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN175057) |
Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: GA RN175157) |
Enumeration Date | 2009-06-22 |
Last Update Date | 2021-12-17 |