NPI | 1679168389 |
---|---|
Former Name | MA ELENA GUTIERREZ AGUILAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016811) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA F12200737) |
Enumeration Date | 2021-03-04 |
Last Update Date | 2023-12-22 |