Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP108001 | TX |
NPI | 1043746324 |
---|---|
Provider Name | Maria V Gutierrez |
First Address | Brownsville, TX 78526-1997 |
Second Address | Brownsville, TX 78526-1997 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2017 |
Last Update Date | 05/05/2017 |