| NPI | 1336610062 |
|---|---|
| Former Name | NATALIA ANN SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MA RN2274551) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |