NPI | 1134584089 |
---|---|
Former Name | SHEENA KATRINA VALLIDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP134798) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 953977) |
363L00000X Nurse Practitioner (Licence: TX AP134798) | |
Enumeration Date | 2015-12-19 |
Last Update Date | 2024-03-19 |