| NPI | 1255569166 |
|---|---|
| Former Name | MARY JANE GIONTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-46329-022) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 140619) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2020-11-11 |