| NPI | 1649978289 |
|---|---|
| Former Name | MIRIAM EDITH HERNANDEZ BALBANEDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209026606) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2025-11-05 |