NPI | 1326645300 |
---|---|
Former Name | ELIZABETH CATHERINE STEFANILO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2336960) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: RI APRN02472) |
Enumeration Date | 2020-10-03 |
Last Update Date | 2024-11-04 |