NPI | 1750150215 |
---|---|
Former Name | EVANGELINE DE GUZMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 824574) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NV 824574) |
Enumeration Date | 2023-12-26 |
Last Update Date | 2024-11-26 |