NPI | 1174105845 |
---|---|
Former Name | ANTOINETTE PALAZZOLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79969-101) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021002290) |
Enumeration Date | 2021-04-22 |
Last Update Date | 2021-07-14 |