| NPI | 1972186138 |
|---|---|
| Other Name | KANDY LIZZETH MEDINA PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP267355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN211082) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2024-08-21 |