NPI | 1073759882 |
---|---|
Former Name | VICKY BULLECER MARQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN1055) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN 1055) |
Enumeration Date | 2008-12-29 |
Last Update Date | 2015-02-09 |