NPI | 1265252647 |
---|---|
Former Name | CHRISTINA MICHELLE RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1000180-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN) |
Enumeration Date | 2024-10-11 |
Last Update Date | 2024-10-11 |