| NPI | 1508828872 | 
|---|---|
| Former Name | DONNA MARIE LOSASSO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP11745)  | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 632663)  | 
| Enumeration Date | 2006-04-03 | 
| Last Update Date | 2020-09-25 |