NPI | 1467914747 |
---|---|
Former Name | LAURA MACIAS-CASTANON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1186369) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP9501242) |
Enumeration Date | 2019-04-04 |
Last Update Date | 2025-07-15 |