| NPI | 1215412788 |
|---|---|
| Former Name | TATIANNA MONDAINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138929) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 941717) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-02-23 |