NPI | 1639822752 |
---|---|
Former Name | DEONNA MARIE D'ALTORIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11017809) |
Enumeration Date | 2022-01-28 |
Last Update Date | 2025-05-12 |