| NPI | 1184299851 | 
|---|---|
| Former Name | ABIGAIL JO CANNARIATO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9737) | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 9737) | 
| Enumeration Date | 2021-05-25 | 
| Last Update Date | 2023-08-16 |