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 |