NPI | 1023523107 |
---|---|
Former Name | CYNTHIA MONTANEZ MCKINNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP136010) |
Enumeration Date | 2017-12-11 |
Last Update Date | 2021-02-09 |