NPI | 1356729651 |
---|---|
Former Name | CHRISTINA RAE AGUILAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992141) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0192701) |
Enumeration Date | 2015-05-07 |
Last Update Date | 2022-05-19 |