| NPI | 1831493782 |
|---|---|
| Former Name | TISHA HERMOSURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: IN 71003524) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: IN 28194446) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2021-02-12 |