NPI | 1194126680 |
---|---|
Former Name | ELIZABETH SOTTERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005116) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60258208) |
163WR0400X Registered Nurse Rehabilitation (Licence: OR 201240461RN) | |
Enumeration Date | 2014-09-16 |
Last Update Date | 2016-11-23 |