NPI | 1457695132 |
---|---|
Former Name | SHERELL CASTILLO SIANOYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 22624) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22624) |
Enumeration Date | 2012-11-19 |
Last Update Date | 2023-04-26 |