NPI | 1306340344 |
---|---|
Former Name | KATHLEEN M. BARZELATTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382913) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP018704) |
Enumeration Date | 2018-03-23 |
Last Update Date | 2018-12-12 |