| NPI | 1689164733 |
|---|---|
| Former Name | GENEVIEVE ANN TALAMANTEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP136995) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136995) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2022-10-20 |