NPI | 1669022695 |
---|---|
Former Name | ANNA CHRISTOFANELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-145947) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 145947) |
Enumeration Date | 2019-09-11 |
Last Update Date | 2021-12-14 |