NPI | 1760048334 |
---|---|
Former Name | VICTORIA S GUTHRIE, OLSEN, GOODMAN, CADENA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019427) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041.396677) |
Enumeration Date | 2019-05-19 |
Last Update Date | 2024-03-04 |