NPI | 1083200687 |
---|---|
Former Name | EVA GUTIERREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145653) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP145653) |
Enumeration Date | 2020-12-17 |
Last Update Date | 2022-11-03 |