| NPI | 1912445263 |
|---|---|
| Former Name | THERESA ANN IPPOLITI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9438980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9438980) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-04-14 |