NPI | 1922367390 |
---|---|
Former Name | DELPHINA KIM PRESTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95001911) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012043) |
Enumeration Date | 2012-05-04 |
Last Update Date | 2021-02-08 |