| 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 |