| NPI | 1164807236 |
|---|---|
| Former Name | MARY ROSSBY BAUTISTA CONCEPCION UY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128611) |
| Additional Taxonomies | 364SN0800X Clinical Nurse Specialist, Neuroscience (Licence: TX AP128611) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2025-10-23 |