| NPI | 1124312582 |
|---|---|
| Former Name | PRISCILLA LYNN MAYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001801-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 729330) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 729330) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2021-01-28 |