| NPI | 1366796484 |
|---|---|
| Former Name | ANNA JEANETTE TOMASULO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016624) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95016624) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 17124) | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2024-01-22 |