NPI | 1205486131 |
---|---|
Former Name | JOCELYN PINOY SISTOSO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95012625) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 630454) |
Enumeration Date | 2019-09-12 |
Last Update Date | 2019-09-12 |