NPI | 1699478313 |
---|---|
Former Name | STEFANI SOLORZANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 9391819-4405) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 9391819-4405) |
Enumeration Date | 2023-03-22 |
Last Update Date | 2025-04-14 |