NPI | 1104336007 |
---|---|
Former Name | ARIANNA CHRISTINE CAMPAGNONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348002) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 704710) |
Enumeration Date | 2017-10-05 |
Last Update Date | 2021-08-07 |