| NPI | 1679352520 |
|---|---|
| Former Name | ANNA-ALICIA TOBIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TX 1057922) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1057922) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-02-05 |