NPI | 1184130684 |
---|---|
Former Name | ANNA MOTOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61086461) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP10783) |
Enumeration Date | 2017-12-19 |
Last Update Date | 2021-04-27 |