NPI | 1922550888 |
---|---|
Former Name | BRANDI CALATAYUD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 21956) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC005279) |
Enumeration Date | 2016-10-26 |
Last Update Date | 2024-07-30 |