| NPI | 1518027622 |
|---|---|
| Former Name | MARY PANTIGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NJ 26NC07537400) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NJ 26NO7537400) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-06-04 |