| NPI | 1265848428 |
|---|---|
| Former Name | DANIELLE TREVINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP125729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125729) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2016-10-04 |