NPI | 1861899882 |
---|---|
Former Name | ANGELA E TESTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 308337) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308337) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00533900) | |
Enumeration Date | 2014-11-20 |
Last Update Date | 2018-11-30 |