| NPI | 1740246982 |
|---|---|
| Former Name | JEAN NEPOMUCENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA NP15130) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: CA RN570100) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2010-11-02 |