| NPI | 1336762657 |
|---|---|
| Other Name | JACQUELINE VILLANUEVA PENAFLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX AP143562) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: TX 675661) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2022-08-24 |