NPI | 1275000325 |
---|---|
Former Name | JOANNA GUTIERREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139489) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP139489) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP139489) | |
Enumeration Date | 2018-10-26 |
Last Update Date | 2024-11-12 |