| NPI | 1760050470 |
|---|---|
| Other Name | JOSE AYALA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1055526) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: TX 736583) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2022-01-11 |