NPI | 1063883239 |
---|---|
Former Name | KARLA PATRICIA VILLAR ENCOMIENDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013428) |
Enumeration Date | 2015-10-14 |
Last Update Date | 2016-06-15 |