NPI | 1124576152 |
---|---|
Former Name | MARA BLUMETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 6738) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002497) |
Enumeration Date | 2016-09-20 |
Last Update Date | 2023-09-22 |