| NPI | 1891006045 |
|---|---|
| Former Name | TRINA MARIE ENTELISANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9221896) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: FL 9221896) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2024-07-30 |