NPI | 1578702809 |
---|---|
Other Name | MARIA LOURDES G REYES GAMBOA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404577) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 463490-1) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340603) | |
Enumeration Date | 2009-02-10 |
Last Update Date | 2023-05-08 |