NPI | 1811360993 |
---|---|
Former Name | ALEX ELYSE BARRAZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MS 901350) |
Enumeration Date | 2015-11-11 |
Last Update Date | 2016-02-04 |