NPI | 1609635390 |
---|---|
Former Name | ELOISA MARGARITA GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2023208771) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 273093) |
163WC0400X Registered Nurse, Case Management (Licence: CA 95161417) | |
Enumeration Date | 2024-03-15 |
Last Update Date | 2024-03-15 |