| NPI | 1104336833 |
|---|---|
| Former Name | LARA CAMILLE CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95007024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 796719) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2021-08-18 |