NPI | 1639466014 |
---|---|
Former Name | NICOLE MARIE TERENZONI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN2270502) |
Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: MA RN2270502) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2017-03-10 |