NPI | 1477961340 |
---|---|
Former Name | MA. DENISSE TAN OBANDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 23722) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 23722) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 23722) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 23722) | |
Enumeration Date | 2014-07-23 |
Last Update Date | 2023-10-05 |