| NPI | 1578656971 |
|---|---|
| Former Name | CORINNE L VIGILANTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: MA RN264147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 264147) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95000791) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-09-11 |