| NPI | 1982611570 |
|---|---|
| Former Name | GINA M SERVI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 3419-33) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9251522) |
| 363L00000X Nurse Practitioner (Licence: MN R1562738) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-04-11 |