NPI | 1922723386 |
---|---|
Former Name | CYNTHIA LIZETH DE LA CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP1092631) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 918024) |
Enumeration Date | 2022-10-07 |
Last Update Date | 2024-05-06 |