| NPI | 1629022389 |
|---|---|
| Former Name | JULIANA CASILLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15946) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 622826) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-11-05 |