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 |