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 |