| NPI | 1609469790 |
|---|---|
| Former Name | JESSICA COTAYO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704389555) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1029229) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2024-10-11 |