| NPI | 1255085452 |
|---|---|
| Former Name | REGINA DOLORES CARRERAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61452375) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN61452346) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11016556) | |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2023-08-24 |