NPI | 1164038022 |
---|---|
Former Name | CHRISTINE ANTOINETTE RUIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95189049) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028068) |
Enumeration Date | 2020-09-16 |
Last Update Date | 2023-11-29 |