NPI | 1356094213 |
---|---|
Former Name | MELISSA TUZZOLINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1150327) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 597282) |
Enumeration Date | 2022-02-01 |
Last Update Date | 2024-01-23 |