| NPI | 1790864981 |
|---|---|
| Former Name | KATHLEEN MARIE GARZELLONI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704163750) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2022-08-19 |