NPI | 1417780966 |
---|---|
Former Name | REBECCA KARIN BARRERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA F07241388) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95110213) |
Enumeration Date | 2024-08-21 |
Last Update Date | 2024-08-21 |