| NPI | 1336670454 |
|---|---|
| Former Name | THERESE SPINELLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015711) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017004730) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |