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 |