| NPI | 1518674605 |
|---|---|
| Former Name | CATHLEEN VANESSA GUTIERREZ EXCONDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F10220152) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-09-15 |