NPI | 1053811570 |
---|---|
Former Name | YVETTE PORTER GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019293) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007759) |
Enumeration Date | 2018-02-21 |
Last Update Date | 2024-03-04 |