| NPI | 1225549439 |
|---|---|
| Professional Name | MAYRA SHIRLEY PONCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95026873) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11023540) |
| 163W00000X Registered Nurse (Licence: FL 9536305) | |
| 163W00000X Registered Nurse (Licence: CA 95253221) | |
| 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: CA 17-419) | |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2024-09-06 |