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 |