NPI | 1427509603 |
---|---|
Former Name | LYKA YVONNE AGORILLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP132318) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP132318) |
Enumeration Date | 2016-10-22 |
Last Update Date | 2024-08-09 |