NPI | 1578965141 |
---|---|
Former Name | KRISTINA R. PERROTTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2275279) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 061623-23) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2023-08-31 |