| NPI | 1265853774 |
|---|---|
| Former Name | PATRICIA VASQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000555) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CA 512996) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2022-07-06 |