NPI | 1902419773 |
---|---|
Former Name | STEPHANIE ANNE DILORETO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP021528) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP021528) |
Enumeration Date | 2020-08-31 |
Last Update Date | 2020-08-31 |