| NPI | 1548018849 |
|---|---|
| Other Name | ABBY NICOLE BALTAZAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1158837) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S6858) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-08-22 |