NPI | 1831354778 |
---|---|
Former Name | NICOLE PANDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 17971) |
Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 1731) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2008-07-21 |