NPI | 1972045987 |
---|---|
Former Name | LIA GIANNOTTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX AP132492) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132492) |
Enumeration Date | 2016-11-08 |
Last Update Date | 2022-07-21 |