NPI | 1356914816 |
---|---|
Former Name | EMIKO ORTIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029818) |
Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: CA 814581) |
Enumeration Date | 2021-07-22 |
Last Update Date | 2024-06-21 |