NPI | 1730742388 |
---|---|
Former Name | MYRIAM YVONNE SERNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 56419) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141219) |
Enumeration Date | 2019-04-18 |
Last Update Date | 2022-03-29 |