NPI | 1386213700 |
---|---|
Former Name | JESSICA MARIA ROMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 104390321) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 821482) |
Enumeration Date | 2021-06-21 |
Last Update Date | 2021-11-30 |