NPI | 1194064931 |
---|---|
Former Name | CANDEE MELGAR ESPIRITU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336841) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 336841) |
Enumeration Date | 2013-02-13 |
Last Update Date | 2023-04-06 |