NPI | 1578816369 |
---|---|
Former Name | KATHERINE ANNE ANDRONACO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP012431) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ01069300) |
Enumeration Date | 2012-10-18 |
Last Update Date | 2023-09-22 |