| NPI | 1568802874 |
|---|---|
| Former Name | HANA MARIE PANTUSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382438) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 643998) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NJ 26NR15509000) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2019-06-26 |