| NPI | 1245619295 |
|---|---|
| Former Name | NORA DERVARTANIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002976) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 576354) |
| 363L00000X Nurse Practitioner (Licence: CA 95002976) | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2016-03-08 |