| NPI | 1003100363 |
|---|---|
| Former Name | JESSICA VALENZUELA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120603) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 708869) |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2021-12-10 |