| NPI | 1477781227 |
|---|---|
| Former Name | MARIA J FAJARDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN1627) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 001110) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2018-10-18 |