| NPI | 1760264543 |
|---|---|
| Former Name | ANGELINA R DEMARCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 12503) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12503) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2025-05-02 |