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 |