NPI | 1972357457 |
---|---|
Former Name | RACHEL ELIZABETH DIBUONAVENTURA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ14993800) |
Enumeration Date | 2024-04-12 |
Last Update Date | 2024-04-12 |