NPI | 1871775395 |
---|---|
Former Name | NANETTE MARIE MANDIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CA RN264684) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN264684) |
Enumeration Date | 2007-11-27 |
Last Update Date | 2007-11-27 |