| NPI | 1487851564 |
|---|---|
| Former Name | CAROLYN M DEMILIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003994) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 569143) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 335223) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2016-01-13 |