| NPI | 1558055079 |
|---|---|
| Former Name | MARIBEL BERENICE CHAVEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014311A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28281613A) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-10-27 |