NPI | 1043990591 |
---|---|
Professional Name | KIRA TEJADA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11027616) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11027616) |
Enumeration Date | 2023-07-19 |
Last Update Date | 2024-11-01 |