NPI | 1699182758 |
---|---|
Former Name | NATALIE MARIE CAMPANELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991250-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM F0614266) |
Enumeration Date | 2014-07-21 |
Last Update Date | 2022-07-21 |