NPI | 1184740417 |
---|---|
Former Name | BETH ANN QUATTROCCHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP11002902) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009206) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00128600) | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2021-11-08 |