| NPI | 1922445402 |
|---|---|
| Former Name | ALINA MARIE MAZZOTTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5746) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 12.005746) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2022-08-29 |