| NPI | 1780236505 |
|---|---|
| Former Name | VIVIAN G QUINTANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP60993249) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60993249) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2023-07-11 |