| NPI | 1982003158 |
|---|---|
| Former Name | BIANCA MEDINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 73290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-72297) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2023-04-25 |