| NPI | 1558978791 |
|---|---|
| Former Name | REGINA C CARIDEO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 08362023) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA ag07200043) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2024-06-03 |