| NPI | 1699966630 |
|---|---|
| Former Name | ANNA FUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 336777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 508373-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 33336777) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2013-06-11 |