| NPI | 1891295770 |
|---|---|
| Former Name | YENNIER DIAZ DE LA ROSA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1110214) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 939226) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2023-02-09 |