NPI | 1881116044 |
---|---|
Former Name | PRISCILLA MARIE PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95355696) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 705922) |
Enumeration Date | 2017-07-10 |
Last Update Date | 2023-11-27 |