NPI | 1720825565 |
---|---|
Former Name | BRENDA TATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN164530) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95153418) |
Enumeration Date | 2024-07-10 |
Last Update Date | 2024-07-10 |