NPI | 1790453702 |
---|---|
Former Name | ANDREA LUCACEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023933) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209023933) |
Enumeration Date | 2021-09-03 |
Last Update Date | 2024-05-07 |