NPI | 1013585587 |
---|---|
Former Name | NADIA HEIDI HERANADEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017286) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95017286) |
Enumeration Date | 2021-06-11 |
Last Update Date | 2024-01-30 |