NPI | 1174181903 |
---|---|
Former Name | KATHERINE PULEO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.019181) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 11400-33) |
Enumeration Date | 2019-06-05 |
Last Update Date | 2025-10-02 |