| NPI | 1073120713 |
|---|---|
| Former Name | JAMI ANTONETTE BECERRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1004006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 60677) |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-30 |