NPI | 1760592786 |
---|---|
Former Name | SUSAN I ROSSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 182659) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9232300) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2013-08-15 |