NPI | 1356759500 |
---|---|
Former Name | ANGELA ANTONELL SEIDITA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH 16332) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH 351599) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2015-01-13 |