| 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 |