NPI | 1700496262 |
---|---|
Former Name | SYLVIA S ROSSETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015008) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9540549) |
363LF0000X Nurse Practitioner, Family (Licence: TX 1004509) | |
Enumeration Date | 2020-08-08 |
Last Update Date | 2024-09-26 |