NPI | 1497245815 |
---|---|
Former Name | DIANE ELIZABETH BATHAM-GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95008821) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2024-12-27 |