NPI | 1013496736 |
---|---|
Former Name | MA CZARINA S CASTILLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008343A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28197056A) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2023-09-26 |