NPI | 1316298771 |
---|---|
Former Name | CHRISTINE ELAINE PEREIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122005) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 575249) |
Enumeration Date | 2012-09-26 |
Last Update Date | 2021-12-16 |