| NPI | 1558668764 |
|---|---|
| Former Name | GINA C MANGIALARPI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209008640) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209008640) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2019-01-22 |