| NPI | 1801068333 |
|---|---|
| Former Name | NICOLE MICHELE CHARNETZKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS13547) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 258683) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2015-11-30 |