NPI | 1427771385 |
---|---|
Former Name | OLIVIA CHRISTINA RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022469) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95053493) |
Enumeration Date | 2022-09-26 |
Last Update Date | 2022-09-26 |