| NPI | 1558854612 |
|---|---|
| Former Name | LAURA TELLES HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 857043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008876) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2022-09-27 |