NPI | 1336762657 |
---|---|
Other Name | JACQUELINE VILLANUEVA PENAFLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143562) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX AP143562) |
163WI0500X Registered Nurse, Infusion Therapy (Licence: TX 675661) | |
Enumeration Date | 2020-05-20 |
Last Update Date | 2025-01-15 |