NPI | 1750053278 |
---|---|
Former Name | ELVA SIERRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1069720) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 899627) |
Enumeration Date | 2021-10-03 |
Last Update Date | 2022-04-14 |