| NPI | 1134760465 |
|---|---|
| Former Name | GABRIELLE MARIE LATORRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP021040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN687150) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2021-07-23 |