NPI | 1174078646 |
---|---|
Former Name | WENDY AGUILAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: CA 95004738) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95004738) |
363LA2100X Nurse Practitioner Acute Care (Licence: CA 95004738) | |
363LA2200X Nurse Practitioner Adult Health (Licence: CA 95004738) | |
Enumeration Date | 2016-08-24 |
Last Update Date | 2021-01-27 |