NPI | 1750858882 |
---|---|
Former Name | MONICA C BOTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61461749) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-68959) |
363LF0000X Nurse Practitioner, Family (Licence: CA 2023006900) | |
Enumeration Date | 2018-10-26 |
Last Update Date | 2024-01-25 |