NPI | 1962022798 |
---|---|
Former Name | ADRIANNA MARIE PEROTTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005472) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9385653) |
Enumeration Date | 2020-04-22 |
Last Update Date | 2024-11-20 |