NPI | 1871010140 |
---|---|
Former Name | LINDSAY BALDERAS-BACA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60800269) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201800022NP-PP) |
363L00000X Nurse Practitioner (Licence: ID pending) | |
363L00000X Nurse Practitioner (Licence: UT 11021158-4405) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175275) | |
Enumeration Date | 2017-08-27 |
Last Update Date | 2022-12-16 |