NPI | 1962129668 |
---|---|
Former Name | CAYE MATUTINO ELLIMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1211031) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11024561) |
Enumeration Date | 2022-10-24 |
Last Update Date | 2025-08-26 |