NPI | 1659794451 |
---|---|
Former Name | ANGELA RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP125075) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 848669) |
Enumeration Date | 2014-01-29 |
Last Update Date | 2021-04-23 |