NPI | 1215573498 |
---|---|
Former Name | CHRISTINA TERESA POLITO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023766) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 072678-23) |
Enumeration Date | 2019-11-21 |
Last Update Date | 2023-12-07 |