NPI | 1891167896 |
---|---|
Former Name | RACHELLE ANN FERNANDEZ MONTIERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128637) |
Enumeration Date | 2015-10-29 |
Last Update Date | 2018-09-25 |