| NPI | 1386356509 |
|---|---|
| Former Name | OLIVIA ROSSNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11022548) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11022548) |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2024-04-09 |