NPI | 1780279943 |
---|---|
Former Name | KAREN PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1031039) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1031039) |
Enumeration Date | 2021-03-09 |
Last Update Date | 2021-03-09 |