NPI | 1811598790 |
---|---|
Former Name | NATALIE DICESARE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346907) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657613) |
2086S0129X Surgery, Vascular Surgery (Licence: NY 346907) | |
Enumeration Date | 2020-11-05 |
Last Update Date | 2023-07-03 |