NPI | 1376113928 |
---|---|
Former Name | SARA FUGAZZOTTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2279290) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2279290) |
Enumeration Date | 2021-06-27 |
Last Update Date | 2025-09-12 |