NPI | 1144867094 |
---|---|
Former Name | ERIKA BENOSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013477) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95013477) |
Enumeration Date | 2019-12-10 |
Last Update Date | 2023-06-06 |