| 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 |