NPI | 1316277437 |
---|---|
Former Name | MICHELE DINA EISENSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19734) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 349554) |
Enumeration Date | 2010-01-12 |
Last Update Date | 2010-10-08 |