NPI | 1104169721 |
---|---|
Former Name | MARIA M PINEDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 16118) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60315856) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 16118) | |
Enumeration Date | 2013-04-02 |
Last Update Date | 2021-01-29 |