| NPI | 1407234255 |
|---|---|
| Former Name | GINA MARRERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012795) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041249726) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2016-08-26 |