NPI | 1417432147 |
---|---|
Former Name | JANETTE MARINAS VILLACARLOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP95008475) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP) |
Enumeration Date | 2018-09-27 |
Last Update Date | 2020-07-30 |