NPI | 1083126684 |
---|---|
Former Name | LIGIA SORAYA ABOHANDE HENRIQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021628) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: CA 95108942) |
Enumeration Date | 2017-11-04 |
Last Update Date | 2022-08-09 |