NPI | 1114405164 |
---|---|
Former Name | KATYA TAPIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347905-01) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017704) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2024-10-17 |