NPI | 1831511658 |
---|---|
Former Name | CHRISTINE VICTORIA JUARBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383692) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 317378) |
Enumeration Date | 2014-01-14 |
Last Update Date | 2024-06-22 |