NPI | 1346428505 |
---|---|
Former Name | FINA MODEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 692038) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 692038) |
Enumeration Date | 2008-02-09 |
Last Update Date | 2024-06-04 |