| NPI | 1053945220 |
|---|---|
| Former Name | MARIA VICTORIA POTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 676307) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2022-02-11 |