NPI | 1598283335 |
---|---|
Former Name | CARLIE CHRISTINE MORAZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95007262) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2329868) |
Enumeration Date | 2017-08-31 |
Last Update Date | 2024-11-07 |