NPI | 1043923469 |
---|---|
Former Name | ENID B MORALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024937) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 746196) |
Enumeration Date | 2022-12-30 |
Last Update Date | 2023-07-26 |