NPI | 1639822752 |
---|---|
Former Name | DEONNA MARIE D'ALTORIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11017809) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017809) |
Enumeration Date | 2022-01-28 |
Last Update Date | 2024-03-01 |