| NPI | 1619442282 |
|---|---|
| Former Name | MAYRA ALEJANDRA AVILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139168) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 829710) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |