NPI | 1205206505 |
---|---|
Former Name | EUNICE JOY BERNARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP129662) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 809065) |
Enumeration Date | 2015-09-29 |
Last Update Date | 2017-12-20 |