| NPI | 1487175097 |
|---|---|
| Former Name | ABBY NICOLE MANGILARDI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KS 48644) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002092858) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2018-06-16 |