| NPI | 1801516646 |
|---|---|
| Former Name | CONSUELO J APODACA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 69713) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R67069) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-12-12 |