NPI | 1841432564 |
---|---|
Other Name | LORRAINE CECILIA CORDOVA-CARRIAGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R17186) |
Enumeration Date | 2009-03-26 |
Last Update Date | 2009-03-26 |