NPI | 1275882292 |
---|---|
Former Name | BERNADETTE INOUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013135) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA NP21975) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2024-09-20 |