NPI | 1790091999 |
---|---|
Former Name | ANN VICTORIA TRIVIGNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: VA 0024128014) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001128014) |
363L00000X Nurse Practitioner (Licence: VA 0024128014) | |
Enumeration Date | 2010-08-25 |
Last Update Date | 2010-11-15 |