| NPI | 1538575832 |
|---|---|
| Former Name | KERRY CUCCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 006205) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 619598) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2023-03-13 |