NPI | 1700464104 |
---|---|
Former Name | REBECCA VALDEZ GENTRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1034355) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 762551) |
Enumeration Date | 2021-03-29 |
Last Update Date | 2022-01-07 |