NPI | 1174978696 |
---|---|
Former Name | NICOLE BATTAGLIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.014552) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IL 04-1413708) |
Enumeration Date | 2016-05-03 |
Last Update Date | 2016-09-08 |