| NPI | 1528722519 |
|---|---|
| Former Name | LAURA ALICIA TEJEDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 71200) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM 71200) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2023-03-30 |