| NPI | 1962884551 |
|---|---|
| Former Name | CONSUELO BAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP131503) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 19315) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2020-07-28 |