NPI | 1649611336 |
---|---|
Former Name | DAYNA SPARACINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP5158) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5158) |
Enumeration Date | 2013-07-10 |
Last Update Date | 2019-02-08 |