NPI | 1164663753 |
---|---|
Former Name | MAY PRADEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 18455) |
Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: CA 3034) |
Enumeration Date | 2009-03-12 |
Last Update Date | 2016-04-12 |