| NPI | 1679694277 |
|---|---|
| Professional Name | ANNETTE MANCUSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135862) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 15838) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2017-11-28 |