| NPI | 1164003182 |
|---|---|
| Former Name | RAQUEL ALEXANDRA CEBALLOS MENDOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028706) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-10-10 |