| NPI | 1790467173 |
|---|---|
| Former Name | SHIRLEY MARIA FLOR MENDOZA FRIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024187882) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001261175) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-10-05 |