| NPI | 1144612763 |
|---|---|
| Former Name | RUCHOMA AVIGAIL KAGANOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 682398) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ15036700) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2024-03-23 |