NPI | 1134618531 |
---|---|
Former Name | JACKIE L ARAGON ESTAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002869) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN38178) |
Enumeration Date | 2018-05-02 |
Last Update Date | 2022-09-15 |