NPI | 1629243779 |
---|---|
Former Name | BERNADETTE MARIE CAPUTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN11513800) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2009-10-01 |