| NPI | 1447698329 | 
|---|---|
| Former Name | SANDRA GAYTAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP123859) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 640371) | 
| Enumeration Date | 2013-06-12 | 
| Last Update Date | 2024-08-20 |