| NPI | 1831601145 |
|---|---|
| Former Name | CHANEL ELISE GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006138) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95053133) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-04-19 |