| NPI | 1336976414 |
|---|---|
| Former Name | MONSERRAT ALEXIS MIRANDA MIRANDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 13145007-8900) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-17 |