NPI | 1316419518 |
---|---|
Former Name | MARY GRACE IGNACIO ARCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001218) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145564) |
163W00000X Registered Nurse (Licence: DE L1-0045218) | |
Enumeration Date | 2018-12-28 |
Last Update Date | 2021-09-23 |