NPI | 1740690726 |
---|---|
Former Name | JULIE ZAMORA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8171) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011509) |
Enumeration Date | 2014-04-30 |
Last Update Date | 2023-09-14 |