| NPI | 1104001114 |
|---|---|
| Former Name | LETICIA M IACOBUCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP116763) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 624278) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2020-06-22 |