| NPI | 1205021474 |
|---|---|
| Former Name | MINNIE ELIZABETH CANCELLARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: NV APRN001647) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 661205) |
| 363L00000X Nurse Practitioner (Licence: CA 17447) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2022-07-21 |