NPI | 1376903724 |
---|---|
Former Name | NICOLE ROSSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95003916) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95003916) |
Enumeration Date | 2016-02-28 |
Last Update Date | 2024-01-17 |