| NPI | 1225651516 |
|---|---|
| Former Name | LINDA FONTANILLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01091100) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 698373) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2023-12-04 |