NPI | 1467635292 |
---|---|
Former Name | LISA MARIE BALDERAS REFUERZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: AZ 272589) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: TX 721135) |
Enumeration Date | 2007-12-15 |
Last Update Date | 2022-09-26 |