NPI | 1417018060 |
---|---|
Former Name | STEPHANIE ZANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN 457475) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP8639) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2017-10-17 |