NPI | 1356633135 |
---|---|
Former Name | SYLVIA DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX ap119400) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 616902) |
Enumeration Date | 2011-05-11 |
Last Update Date | 2024-10-15 |