| NPI | 1346765344 |
|---|---|
| Former Name | THERESA L MUNOZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704337222) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209015830) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2023-08-17 |