NPI | 1912136250 |
---|---|
Former Name | MARGARET M MIRABELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07316) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335843-1) |
Enumeration Date | 2009-07-08 |
Last Update Date | 2022-07-27 |