NPI | 1548021512 |
---|---|
Former Name | PERI KUMIKO KNOBBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95028824) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95172020) |
Enumeration Date | 2024-01-17 |
Last Update Date | 2024-10-14 |