| NPI | 1912354242 |
|---|---|
| Former Name | ILARIA MENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 703826) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2021-09-23 |