| NPI | 1023255841 |
|---|---|
| Former Name | MECHELLE RENEE PEREA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP9455) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN445148) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2011-12-16 |