NPI | 1760035182 |
---|---|
Other Name | IRMA A RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95014283) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014283) |
Enumeration Date | 2019-07-24 |
Last Update Date | 2020-08-03 |