| NPI | 1073011375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SILVA Pams Npi Administrator 210-598-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |