| NPI | 1477176063 |
|---|---|
| Former Name | MARIE ELAINE GUTIERREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95045903) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2023-05-18 |