NPI | 1952877722 |
---|---|
Former Name | NIKKI YBARRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1658974) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT RN.8007646-3102) |
Enumeration Date | 2018-10-19 |
Last Update Date | 2018-12-11 |