NPI | 1821546136 |
---|---|
Former Name | PRISCILLA PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 686147) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 19122) |
Enumeration Date | 2016-09-15 |
Last Update Date | 2022-08-29 |