| NPI | 1245666882 |
|---|---|
| Former Name | VAENSSA MARIE PALACIOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 737985) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 737985) |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2024-11-08 |