| NPI | 1679945174 | 
|---|---|
| Former Name | ANA LUCIA ZAMUDIO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8234) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AZ8234) | 
| Enumeration Date | 2015-10-22 | 
| Last Update Date | 2023-02-15 |