NPI | 1235637356 |
---|---|
Former Name | ERIN MARIKO TAKETOMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95008127) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 829275) |
363L00000X Nurse Practitioner (Licence: CA 95008127) | |
Enumeration Date | 2018-01-23 |
Last Update Date | 2025-03-28 |