NPI | 1164724670 |
---|---|
Former Name | LEAH MARIE DIRIENZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9204004) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9204004) |
Enumeration Date | 2010-12-03 |
Last Update Date | 2025-03-04 |