NPI | 1407371578 |
---|---|
Former Name | REBECCA LOUISE RIOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006861) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175014) |
Enumeration Date | 2017-08-09 |
Last Update Date | 2024-08-09 |