| NPI | 1831549930 |
|---|---|
| Former Name | ANDREA BOMMARITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0001143) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R209259) |
| 163W00000X Registered Nurse (Licence: DC RN1019862) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1019862) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2020-03-19 |