NPI | 1780154765 |
---|---|
Former Name | BIANCA CHRISTINA CAPORUSCIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704297450) |
Enumeration Date | 2018-12-03 |
Last Update Date | 2023-09-05 |