| NPI | 1154623890 |
|---|---|
| Former Name | MARIA ROSALIE ERESMAS SIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 15119) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 2090) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |