| NPI | 1821167214 |
|---|---|
| Former Name | VENUS MACIAS PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 584175) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 16914) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2009-08-27 |