| NPI | 1801597976 |
|---|---|
| Former Name | MARISA ROMERO ESTRADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001411) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 237734) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-07-31 |