| NPI | 1568603975 |
|---|---|
| Former Name | KARINA ISELA REYNOSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CA 743106) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95016201) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2021-03-09 |