NPI | 1912588047 |
---|---|
Former Name | ZHERYL B BALDONADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61148962) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60066995) |
363LF0000X Nurse Practitioner Family (Licence: WA AP61148962) | |
Enumeration Date | 2021-04-20 |
Last Update Date | 2024-04-26 |