NPI | 1659378016 |
---|---|
Former Name | JANICE LYNN GARZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP112449) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 436598) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2019-12-13 |