NPI | 1710181581 |
---|---|
Former Name | LILLIAN JANETH BUELNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 21663) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 109715) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2018-04-11 |