NPI | 1891216040 |
---|---|
Former Name | ROCHELLE MARIE REDONDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 522107) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 522107) |
171M00000X Case Manager/Care Coordinator (Licence: CA 522107) | |
Enumeration Date | 2017-06-28 |
Last Update Date | 2017-06-28 |