| NPI | 1346648342 |
|---|---|
| Former Name | JACQUELYN NORAH CANTU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 853800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127148) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03551) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2023-02-26 |