NPI | 1396128476 |
---|---|
Former Name | LETICIA CANO DELACRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP127775) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 745962) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2021-06-11 |