NPI | 1487105243 |
---|---|
Other Name | EILEEN NEPOMUCENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005169) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95005169) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95005169) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95005169) | |
Enumeration Date | 2016-10-17 |
Last Update Date | 2019-06-24 |