NPI | 1730710575 |
---|---|
Former Name | KORINNA DE LA ROSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 236099) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95014287) |
Enumeration Date | 2020-01-30 |
Last Update Date | 2022-08-26 |