NPI | 1154680817 |
---|---|
Former Name | CHRISTINA ELIZABETH MASCARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201706294NP-PP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP012109) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2020-10-06 |