NPI | 1346903960 |
---|---|
Former Name | JULIANA MARIE MASCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01215300) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP024609) |
Enumeration Date | 2021-10-20 |
Last Update Date | 2023-03-17 |