| NPI | 1063027118 |
|---|---|
| Former Name | MAURA ANGELICA GRANADOS GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95015320) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95015320) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2022-08-18 |