NPI | 1720697303 |
---|---|
Former Name | ACACIA SCHULTE-GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113246) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 113246) |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-11-27 |