NPI | 1760034706 |
---|---|
Former Name | JENNAH BUCKAROO EPSTEINKRAUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2283367) |
Enumeration Date | 2019-07-10 |
Last Update Date | 2019-07-10 |