| NPI | 1245597335 |
|---|---|
| Former Name | VICTORIA LUEVANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q1368) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX Q1368) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2023-04-14 |