NPI | 1326592569 |
---|---|
Former Name | ELIZABETH JANE CRETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95005173) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 804180) |
Enumeration Date | 2016-08-04 |
Last Update Date | 2021-03-02 |