| NPI | 1093765786 |
|---|---|
| Former Name | MARYLOU RITACCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003031) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003031) |
| 363L00000X Nurse Practitioner (Licence: RI NP36913) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-04-14 |