NPI | 1306415542 |
---|---|
Former Name | JENNIFER CHRISTINE BELTRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015605) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95015605) |
Enumeration Date | 2021-06-22 |
Last Update Date | 2024-08-26 |