| NPI | 1770657959 |
|---|---|
| Former Name | CONNIE J VARGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000714A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000714) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2011-03-10 |