NPI | 1871005124 |
---|---|
Former Name | MARIA ELENA SCHADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95006702) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95006702) |
Enumeration Date | 2017-10-26 |
Last Update Date | 2017-10-26 |