| NPI | 1639688211 |
|---|---|
| Former Name | MARY ELIZABETH CAMPOLIETA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9401414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9401414) |
| 163W00000X Registered Nurse (Licence: NC 233461) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2021-12-31 |