NPI | 1699946483 |
---|---|
Former Name | ANA ALICIA TIRADO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP6387) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP 6387) |
Enumeration Date | 2008-03-19 |
Last Update Date | 2008-03-19 |