NPI | 1316342959 |
---|---|
Former Name | JODI L VILLANTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11039170) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 339144) |
363LF0000X Nurse Practitioner, Family (Licence: NY 339144) | |
Enumeration Date | 2014-10-24 |
Last Update Date | 2025-05-13 |