NPI | 1194277988 |
---|---|
Former Name | ASHLEY BELEN DE IZAGUIRRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9338780) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9338780) |
Enumeration Date | 2016-10-27 |
Last Update Date | 2021-02-16 |