| NPI | 1881749521 |
|---|---|
| Former Name | COLLEEN ANGELA BONIFATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN549697) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |