| NPI | 1033512868 |
|---|---|
| Former Name | MARIETTA MENESES BERMUDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126286) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95005262) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2022-08-23 |