Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 636275 | TX |
NPI | 1033266325 |
---|---|
Provider Name | Juana Maria Navarro-Becker |
First Address | Ft. Hood, TX 76544 |
Second Address | Ft. Hood, TX 76544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 08/07/2007 |