NPI | 1417019167 |
---|---|
Former Name | CARRIE LYNN CEPPI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN 509289) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP 9922) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2007-07-08 |