| NPI | 1790171601 |
|---|---|
| Former Name | CAROL DELLA ROSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76680-22) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015008355) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |