NPI | 1336424811 |
---|---|
Former Name | BERNADETTE A. BARDALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP11350) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.008483) |
Enumeration Date | 2011-10-17 |
Last Update Date | 2021-01-07 |