| NPI | 1598205460 |
|---|---|
| Former Name | KIMBERLY J LANUNZIATA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP017361) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN566248) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2019-04-12 |