| NPI | 1386116077 |
|---|---|
| Former Name | SUSAN VERONICA CIENFUEGOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014309) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 219932) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2024-09-13 |