| NPI | 1659027803 |
|---|---|
| Former Name | CHRISTINA DESOUZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202208609NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020136) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2023-11-29 |