| NPI | 1700556347 |
|---|---|
| Former Name | MERRY GRACE EMILIO CONSERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016756) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 4921) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2022-05-03 |