| NPI | 1023410511 |
|---|---|
| Former Name | NANCY RODRIGUEZ SISTACHS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9367163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 93677163) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2017-02-01 |