NPI | 1598148231 |
---|---|
Former Name | SABINA BONFADINI MUNCIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE L8-0010250) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD L8-0010250) |
Enumeration Date | 2015-06-30 |
Last Update Date | 2024-04-17 |