NPI | 1881154037 |
---|---|
Former Name | MARY ANN PIMENTEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011408) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95011408) |
Enumeration Date | 2019-03-22 |
Last Update Date | 2024-04-16 |