| NPI | 1558290890 |
|---|---|
| Former Name | AUDREY PARRA |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 85801) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2026031357) |
| Enumeration Date | 2026-05-14 |
| Last Update Date | 2026-09-10 |