NPI | 1295574663 |
---|---|
Former Name | KATHY MICHELLE SORIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95407549) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2024-05-23 |
Last Update Date | 2025-02-13 |