| NPI | 1790538577 |
|---|---|
| Former Name | CHRISTINE ANNE DEDEKIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA NP95029328) |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-08-02 |