| NPI | 1114310216 |
|---|---|
| Former Name | THERESA LA GUARDIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95002039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002039) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2024-07-26 |