NPI | 1720489321 |
---|---|
Former Name | KARLEY MARIANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95000867) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2014-09-15 |