| NPI | 1497200869 |
|---|---|
| Former Name | YURI ALEXANDRIA EZOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 761421) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2023-11-27 |