NPI | 1417235706 |
---|---|
Former Name | SANDRA LUZ VILLAR-MORENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA 19659) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 19659) |
Enumeration Date | 2011-08-03 |
Last Update Date | 2024-06-03 |