Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | NP95016157 | CA |
NPI | 1093481350 |
---|---|
Provider Name | Maria Tuite |
First Address | Sacramento, CA 95820-4717 |
Second Address | Sacramento, CA 95820-4717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2021 |
Last Update Date | 18/08/2021 |