NPI | 1881942670 |
---|---|
Former Name | MARTA ISABEL LUEVANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP122323) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 747620) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11027566) | |
Enumeration Date | 2012-08-27 |
Last Update Date | 2025-04-02 |