NPI | 1780935049 |
---|---|
Former Name | TERESA FUGGITI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: VT 101.0099426) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NH 065564-23) |
Enumeration Date | 2012-09-27 |
Last Update Date | 2024-08-15 |