| NPI | 1063867158 |
|---|---|
| Former Name | TRISHA ANN MENDOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95003941) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95003941) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-12-17 |