NPI | 1588375042 |
---|---|
Former Name | HOLLY ELAINE HURTADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1109835) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 914243) |
Enumeration Date | 2022-12-06 |
Last Update Date | 2023-02-01 |