NPI | 1417618547 |
---|---|
Former Name | CINDY STEPHANIE CALVO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016750) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95016750) |
Enumeration Date | 2021-12-30 |
Last Update Date | 2023-08-30 |