NPI | 1407278427 |
---|---|
Former Name | ALISSA MIYAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 23500) |
Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 4035) |
Enumeration Date | 2014-01-09 |
Last Update Date | 2014-10-14 |