| NPI | 1871593970 |
|---|---|
| Former Name | TERESA LARIOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 530702) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 15162) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-07-08 |