| 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 | 2024-06-13 |