NPI | 1831379742 |
---|---|
Former Name | TRICIA DREPAUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381920) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381920-1) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2014-03-03 |