NPI | 1891267951 |
---|---|
Former Name | DARREN SCOTT TROFIBIO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 64894) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11000640) |
363L00000X Nurse Practitioner (Licence: WA AP60935971) | |
Enumeration Date | 2018-12-28 |
Last Update Date | 2020-07-21 |