NPI | 1184953127 |
---|---|
Former Name | RUTH HOLGUIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 18856) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 18856) |
Enumeration Date | 2009-12-22 |
Last Update Date | 2024-07-04 |