| NPI | 1679969299 |
|---|---|
| Former Name | TRICIA DWYER SANTOPIETRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 6101) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 6101) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 6101) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-13 |