NPI | 1518923937 |
---|---|
Former Name | MARCELLA LEONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 1033) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 244783) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2010-06-14 |