| NPI | 1730573395 |
|---|---|
| Former Name | APOLLONIA MENDOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004949) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95004949) |
| 163W00000X Registered Nurse (Licence: NY 688579) | |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2021-10-19 |