| NPI | 1790235141 |
|---|---|
| Former Name | MARIA VANEEZA CASTAGUETO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP016665) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN556914) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2019-12-23 |