| NPI | 1528302742 |
|---|---|
| Former Name | GINA MARIE VITALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN278267) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RN115701) |
| 363L00000X Nurse Practitioner (Licence: OH COA-NP14020) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2015-10-20 |