NPI | 1710155320 |
---|---|
Former Name | SABRINA LEA HIDALGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 703407) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 703407) |
Enumeration Date | 2008-02-16 |
Last Update Date | 2014-05-07 |