NPI | 1013587591 |
---|---|
Former Name | CLARISSE GRANDE MANABAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 847623) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 83338) |
163W00000X Registered Nurse (Licence: CA 95248890) | |
Enumeration Date | 2021-06-28 |
Last Update Date | 2022-01-25 |