NPI | 1760913768 |
---|---|
Former Name | SHEENA LOU-LU DEMARTINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist Family Health (Licence: NY 341479) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2020-08-03 |