| NPI | 1700293131 |
|---|---|
| Other Name | KRISTEN RASNICK FUSILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010899) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9308727) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2023-02-26 |