NPI | 1447942529 |
---|---|
Former Name | CLAUDIA KAY IBARRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002832) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R051917) |
Enumeration Date | 2023-05-25 |
Last Update Date | 2023-06-06 |