NPI | 1114205861 |
---|---|
Former Name | SARAH JANE NERY VALENZUELA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024363) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R177359) |
363LF0000X Nurse Practitioner, Family (Licence: OH 13305) | |
Enumeration Date | 2011-07-29 |
Last Update Date | 2023-07-05 |