| NPI | 1689930810 |
|---|---|
| Former Name | ARIELLE PASTICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 005314) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 382279) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 5314) | |
| 163W00000X Registered Nurse (Licence: NY 619098) | |
| 163W00000X Registered Nurse (Licence: CT 110251) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2020-01-28 |