NPI | 1912349291 |
---|---|
Former Name | MA ANA BASILIA LEON ARBO TIU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23097) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 690751) |
Enumeration Date | 2013-07-26 |
Last Update Date | 2020-08-11 |