NPI | 1881730240 |
---|---|
Former Name | MARI GUTIERREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 456981) |
Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: CA 456981) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2019-06-19 |