NPI | 1861658346 |
---|---|
Former Name | ABIGAIL MARIE ZULLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3206) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN126616) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2011-02-10 |