NPI | 1376186437 |
---|---|
Former Name | ANISSA DELTORO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004695) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11004695) |
Enumeration Date | 2019-10-22 |
Last Update Date | 2022-05-26 |