| NPI | 1417959032 |
|---|---|
| Former Name | DALE MARIE VENTIMIGLIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA T061905) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2014-08-05 |