NPI | 1992050314 |
---|---|
Former Name | JULIA REYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1055658) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL ARNP9267109) |
Enumeration Date | 2012-07-23 |
Last Update Date | 2021-09-28 |