| NPI | 1558736504 |
|---|---|
| Former Name | LAURA CASTILLO CASTILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP129183) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71015879A) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2024-10-11 |