| NPI | 1174038244 |
|---|---|
| Former Name | NICOLE ROSE PIPITONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95128218) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |