| NPI | 1831338573 |
|---|---|
| Former Name | TERESA HERMOSILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200742369RN) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OR 200413013CNA) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |