NPI | 1689338873 |
---|---|
Former Name | ASHLEY SCARAMUZZI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01211100) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ01211100) |
Enumeration Date | 2021-10-25 |
Last Update Date | 2023-09-13 |