| NPI | 1225341019 |
|---|---|
| Former Name | CHARMAINE LANDRY CUCCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06194) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN075247 AP06194) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2023-03-14 |