| NPI | 1982179735 |
|---|---|
| Former Name | JEREMIE VELASCO GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 13861815-4405) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F308631-1) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 13861815-4405) | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2024-06-12 |