NPI | 1114552817 |
---|---|
Former Name | SASHA MIREYA MORALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP145560) |
Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TX 875145) |
Enumeration Date | 2020-03-03 |
Last Update Date | 2022-10-09 |