| NPI | 1578078176 |
|---|---|
| Former Name | NICOLE LANZETTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP018116) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP018116) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2024-08-14 |