NPI | 1609122548 |
---|---|
Former Name | ELIZABETH STAFFA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP 9228837) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9228837) |
363LC1500X Nurse Practitioner, Community Health (Licence: FL ARNP9228837) | |
Enumeration Date | 2012-07-30 |
Last Update Date | 2012-07-30 |