NPI | 1508468745 |
---|---|
Former Name | MARIA KATHLEEN TUCCI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27860) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 27860) |
Enumeration Date | 2020-11-12 |
Last Update Date | 2024-03-04 |