NPI | 1437579083 |
---|---|
Former Name | MARY IBARRA |
Other Name | MARY IBARRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20030) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 95980) |
Enumeration Date | 2014-04-22 |
Last Update Date | 2021-09-22 |