NPI | 1740469691 |
---|---|
Former Name | ANASTASIA JOANNE MASINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 183266) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 183266) |
Enumeration Date | 2007-10-29 |
Last Update Date | 2013-10-04 |