| NPI | 1770248635 |
|---|---|
| Former Name | MARIAH TAFOYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 57662) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 57662) |
| 163WS0200X Registered Nurse, School (Licence: NM 65401) | |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2024-12-13 |