NPI | 1528580438 |
---|---|
Former Name | PERLA MARILYN HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014765) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 849269) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2022-07-21 |