NPI | 1518086388 |
---|---|
Former Name | YVONNE DECASTRO FERMIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA FNP11786) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN525830) |
207Q00000X Family Medicine (Licence: CA 11786) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2024-06-13 |