NPI | 1154647337 |
---|---|
Professional Name | MYLA AFABLE MAGNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX APII7390) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX APII7390) |
Enumeration Date | 2010-04-14 |
Last Update Date | 2024-06-15 |