NPI | 1013712207 |
---|---|
Former Name | ANDREA VICTORIA RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71016320A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71016320A) |
Enumeration Date | 2025-02-13 |
Last Update Date | 2025-05-27 |