| NPI | 1235470576 |
|---|---|
| Former Name | AGATHA BAQUERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CO 163WCO400X) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: CO MT0012709) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2020-10-20 |